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As we age, or during periods of stress or illness, NAD levels can decline, impacting recovery, energy, and overall wellness

For many, the initial signs that the vitamin is actually working are behaviors that some might consider regression, such as oral-motor overstimulation

This purposeful delay can lead to a few things: Gastric Distension: Food hangs around in your stomach longer than it normally would, potentially causing the stomach to stretch and become more full or distended than usual

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This changed with recent legislation and the announcement of the BALANCE (Better Approaches to Lifestyle and Nutrition for Comprehensive health) Model in December 2025, which creates a Medicare GLP-1 payment demonstration scheduled to begin in July 2026